National Provider Identifier [NPI]: |
1558635730 |
Last Name Of The Provider |
ZEBIAN |
First Name Of The Provider |
RAMI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
805 PAMPLICO HWY |
Street Address 2 Of The Provider |
SUITE B-300 |
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
295056047 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
4163 |
Number Of Medicare Beneficiaries |
925 |
Total Submitted Charge Amount |
1227707 |
Total Medicare Allowed Amount |
385968.29 |
Total Medicare Payment Amount |
295500.34 |
Total Medicare Standardized Payment Amount |
314446.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
81 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
7980 |
Total Drug Medicare AllowedAmount |
3250.05 |
Total Drug Medicare PaymentAmount |
3181.31 |
Total Drug Medicare Standardized Payment Amount |
3181.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
4082 |
Number Of Medicare Beneficiaries With Medical Services |
925 |
Total Medical Submitted Charge Amount |
1219727 |
Total Medical Medicare Allowed Amount |
382718.24 |
Total Medical Medicare Payment Amount |
292319.03 |
Total Medical Medicare Standardized Payment Amount |
311265.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
434 |
Number Of Non Hispanic White Beneficiaries |
592 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
613 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
312 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
62 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1666 |